About this trial
Real-world evidence, retrospective and prospective, non-randomized, multicenter observational study of VenusP-ValveTM System in treating moderate or greater pulmonary regurgitation with/without pulmonary stenosis in patients with native right ventricular outflow tract (RVOT).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with native RVOT (including transvalvular patch repair) are present with moderate or greater pulmonary regurgitation with/without stenosis and are clinically indicated for pulmonary valve intervention.
The patient (or the patient's legally authorized representative) is willing to consent to participate in the study and will commit to completing all follow-up requirements.
Disqualifiers
None
Trial population
Baseline enrolment criteria * 12 years old up to 70 years old * Weight ≥ 30kg * With evidence of moderate or severe (≥3+) pulmonary regurgitation by Transthoracic Echocardiography (TTE) * With \>30% pulmonary regurgitation fraction as defined by cardiac Magnetic Resonance Imaging (MRI) * The subject is symptomatic from his/her pulmonary regurgitation or meets MRI criteria for intervention Right Ventricular Ejection Fraction (RVEF) \< 45%, Pulmonary Regurgitant Fraction (PRRF) \>30% and increased Right Ventricular End Diastolic Volume (RVEDV) Index (RVEDVI) \>150mL/m²
Trial design
Cohort
Other
Treatments tested in this trial
transcatheter pulmonary valve implantation (TPVI)
DeviceA stent-mounted valve is introduced over a guidewire and positioned in the RVOT, followed by balloon inflation to deploy the valve.
Treatment groups
Trial outcomes
Primary outcomes
Non-hierarchical composite endpoint
* Freedom from VenusP-ValveTM (catheter or surgical) reintervention * Acceptable hemodynamic function, defined as: 1. Mild or less regurgitation measured by echocardiography; AND 2. Mean RVOT gradient as measured by echocardiography ≤35mmHg.
Secondary outcomes
Procedural Success
Procedure success at 30 days, defined as: * Freedom from procedure/device-related mortality * Freedom from Venus P-ValveTM (catheter or surgical) reintervention concerning index procedure or device * Acceptable hemodynamic function * Original intended valve in situ
Occurrence of Events
Occurrence of the following events through 5 years of follow-up: * All-cause mortality and procedure/device-related mortality * Venus P-ValveTM (catheter or surgical) reintervention * Venus P-ValveTM dysfunction * Serious procedure/device-related adverse events
Functional status
New York Heart Association (NYHA) classification out to 5 years
Health-state utility score
Health-state utility score as measured by the EQ-5D at pre-implant, 30 days, 6 months, 1 year and annually thereafter through 5 years.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Venus MedTech (HangZhou) Inc.
Lead sponsor
IQVIA MedTech BV of Antwerp, Belgium
Collaborator
MDCECRO LLC
Collaborator